Pink & white, Inc. - Order Form

Date (MM/DD/YY):                                 
First Name:                                 
Last/Family Name:                                 
Address:                                                                 
                                                                  
Telephone:                                 
Fax:                                 
Email:                                                                 
Credit Card (circle one): Visa    MasterCard    AmericanExpress    Discover
Credit Card Number:                                                                 
Credit Card Expiration Date (MM/YY):                                 
CVV Code:                                  (last 3-digit number on the backside of your card)
Signature:                                                                 

Style # Size Color Quantity Price Amount
(Quant x Price)		 Description
             
             
             
             
             
             
             
             
        Sub Total    
        Sales Tax    
        Shipping Fee    
        Total    

Shipping and Handling Fee (No quantity limit, the more you buy the more you save):
  1. Standard Ground in U.S.A.
  2. National Express in U.S.A
  3. Global Express to any country
 US$6.95
US$19.95
US$29.95

Note:
  1. No Sales Tax. Only California residents need to add a 7.25% sales tax.
  2. Your billing address needs to be the same as your shipping address.
  3. You can mail check or money order in US$ to the following address:
    Pink & White, Inc.
    160 W. Foothill Pkwy, Ste. 105-103.
    Corona, CA 92882
    U.S.A.